Ms. Michelle Borst
133 Lynch Street
Danville, VA 24540
Current Inspector: Rebecca Forestier (540) 309-2835
Inspection Date: Oct. 2, 2017
Complaint Related: No
- Areas Reviewed:
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies
An unannounced monitoring inspection was on 10/2/2017. Inspection started at 11:45AM. Records for the 4 enrolled children were reviewed. Provider does not administer medication and does not transport children. Staff/household records were reviewed during the inspection. An exit interview including review of Risk Assessment & areas of non-compliance found were reviewed with the Provider on 10/2/2017. Inspection concluded at 1:30 PM.
Standard #: 22VAC40-111-830-A Description: Based on review of the evacuation log, the licensee failed to ensure that monthly drills were conducted. Evidence: 1. The drill for September 2017 was not completed or documented. Plan of Correction: The licensee will print a new form and document and conduct a monthly drill.
Standard #: 22VAC40-111-960-G Description: Based on interviews, the licensee failed to ensure that all bottles were not heated in the microwave oven. Evidence: 1. The licensee stated that the mom requested the bottles be heated in the microwave for 20 seconds. Plan of Correction: The licensee will not heat bottles in the microwave and will inform the parent.
Standard #: 22VAC40-111-960-J Description: Based on observation, the licensee failed to ensure that all solid food is served either with a spoon or with fingers. Evidence: 1. The LI observed cereal in child # 3 bottle and was being fed. Plan of Correction: The licensee will inform the parent of the stand ard and will ensure that solid food is feed by a spoon.
Standard #: 22VAC40-111-60-B Description: Based on review of four children's records, the licensee failed to ensure that all records were complete. Evidence: 1. The record for child # 3 was missing the agreement page of the enrollment form. Plan of Correction: The licensee will have the parent to complete the form ASAP.
Standard #: 22VAC40-111-140-B-3 Description: Based on review of training, the licensee failed to ensure that the training for CPR and first aid was current. Evidence: 1. The most recent first aid and CPR card expired on 2/10/2017. Plan of Correction: The licensee stated she is currently looking for a training and is not having luck located one. She will continue to look.
Standard #: 22VAC40-191-40-D-1-c Description: Based on record review & discussion with the Provider, the Licensee failed to update Background Checks (Criminal Record Check & Central Registry) EVIDENCE: Staff #1 Background Checks have not been updated before three years since the most recent Background Checks. Criminal Record & Child Protective Services Backgrounds checks were not updated. Most recent CRC was completed on 2/25/2014 and expired 2/25/2017. Most recent CPS was completed on 3/19/2014 and expired 3/19/2017. Plan of Correction: The licensee stated that she has sent them off and will monitor the time frames.
Standard #: 63.2-1720.1-B-3 Description: Based on review of background checks, the licensee failed to ensure that all new sworn statements were completed. Evidence 1. Staff # 1 has not complete the new sworn statement that was required 9/1/2017. Plan of Correction: The licensee will print the new form off today and complete.
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.